The Syrian Center for Tobacco Studies-13 (SCTS-13): Psychometric evaluation of a waterpipe-specific nicotine dependence instrument.

The Syrian Center for Tobacco Studies-13 (SCTS-13): Psychometric evaluation of a waterpipe-specific nicotine dependence instrument.
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叙利亚烟草研究中心13(SCTS-13):供水型特异性尼古丁依赖仪器的心理测量评估。

DOI:
10.1016/j.drugalcdep.2020.108192
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发表时间:
2020-10-01
影响因子:
4.2
通讯作者:
Maziak W
Maziak W
中科院分区:
医学2区
文献类型:
--
作者:
Alam MM;Ward KD;Bahelah R;Kalan ME;Asfar T;Eissenberg T;Maziak W

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水烟吸烟(WTS)在全球年轻人中激增,并导致尼古丁依赖(ND)。没有现有的ND仪器对ND的水管特定特征和使用的早期阶段敏感。我们对192名目前吸烟者进行了心理测量量表评估,最初平均年龄为15岁,从黎巴嫩的贝鲁特的学校招募,并进行了4次评估,间隔6个月。采用探索性和验证性因素分析(EFA和CFA)对28个具有ND多个特征的自陈项目进行筛选和验证。收敛效度用黎巴嫩水管依赖量表和尼古丁成瘾量表进行评估,判别效度用抑郁症状量表和青少年生活事件应激量表进行评估。同时和预测效度指标包括吸烟状态和强度(数量,频率,会话持续时间和频率的变化),戒烟兴趣和成功,感知成瘾和单独吸烟。EFA产生了一个单因素,13项解决方案(命名为叙利亚烟草研究中心[SCTS]-13),解释了91%的响应方差,是内部一致的(克朗巴赫的α和麦当劳的ω = 0.87),并捕获了ND的几个正强化,负强化和社会/感觉相关的功能。CFA表明模型拟合良好。SCTS-13显示了可接受的收敛效度和判别效度。较高的SCTS-13评分预测当前的水管和双重(水管和香烟)吸烟,更大的使用强度,戒烟的兴趣较低,戒烟持续时间较短,更大的感知成瘾,和单独吸烟(与社会)。SCTS-13是一种很有前途的水管专用ND仪器。
Waterpipe tobacco smoking (WTS) has surged globally among young people and causes nicotine dependence (ND). No existing ND instruments are sensitive to waterpipe-specific features of ND and early stages of use. We conducted a psychometric scale evaluation among 192 current waterpipe smokers, initially averaging 15 years of age, recruited from schools in Beirut, Lebanon, and assessed 4 times, 6 months apart. Twenty eight self-report items tapping multiple features of ND were submitted to exploratory and confirmatory factor analyses (EFA and CFA) to reduce items and verify factor structure. Convergent validity was assessed with the Lebanese Waterpipe Dependence Scale and the Hooked on Nicotine Checklist, and discriminant validity with the Depressive Symptom Scale and Adolescent Life Events Stress Scale. Concurrent and predictive validity measures included smoking status and intensity (amount, frequency, session duration, and change in frequency), quitting interest and success, perceived addiction, and smoking alone. The EFA yielded a single factor, 13 item solution (named the Syrian Center for Tobacco Studies [SCTS]-13) that explained 91% of variance in responses, was internally consistent (Cronbach’s alpha and McDonald’s omega = 0.87), and captured several positive reinforcement, negative reinforcement, and social/sensory-related features of ND. The CFA indicated good model fit. The SCTS-13 showed acceptable convergent and discriminant validity. Higher SCTS-13 scores predicted current waterpipe and dual (waterpipe and cigarette) smoking, greater intensity of use, less interest in quitting, shorter duration of abstinence, greater perceived addiction, and smoking alone (vs. socially). The SCTS-13 is a promising brief, waterpipe-specific ND instrument.
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